HomeMy WebLinkAbout2000-P03468 - temp sign PERMIT
CITY'-`�F ORONO
2750 Kelley Parkway- PO Box 66 Permit Number: Po346s
Crystal Bay, Minnesota 55323 Permit Type: sign Pe�it
(612) 249-4600 Date Issued: i�iai2oo
SITE ADDRESS: 3440 Shoreline Dr
WAYZATA,MN 55391
P I D: 17-117-23-43-0142
DESCRIPTION:
Proposed Use: Commercial
Permit Class: General
Permit Type: Sign Permit Permit Sub-type(s): Sign-Temporary
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
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FEE SUMMARY: Valuation: $ 0.00
TOTAL FEE: $30.00
APPLICANT: DAVID OSMONSON OWNER: DAVID OSMONSON
3440 SHORELINE Dr 3440 SHORELINE DR
WAYZATA,MN 55391 WAYZATA MN 55391
THE UNDERSIGNID HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVIMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMI'LIANCE WITH ALL CITY OF ORONO ORDINANCES AND
STATE OF MINNESOTA BUII,DING CODE REQUIIZEMENTS.
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RE I B SIGNATURE
Copies:City,Applicant,Assessor,Finance Page 1
a.,. �_j�,o �
` Total Fee: $ Date Received:
Entered By: Permit#: 4 3���
CITY OF ORONO - BUII.DING PERMIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
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THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR
JOB SITE ADDRESS: � e Z�� ��� l
NAME OF OWNER: �C c.i� /,/Slrr dl�Sah PHONE: (home) 9:r�� y 7�Z�G y6�
(work) 9'S,� � 5/7/� 8/a y
MAILING ADDRESS: .�'�/S�l�S�o��i�� c�� . CITY: �,ias�� ZIP:_S�3 R�
CONTRACTOR: PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME; REGISTRATION#
TYPE OF WORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PR POSED WORK(describe in detai�: T s�v� – �.�s�`-� —
c��Cc /"��c'�a' � /.s'�u.,1(✓' Z� � �L-,� '30''� '�'a„� o`
STORIES: SQ.FEET OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
ESTIMATED CONSTRUCTION VALUATION(excluding land): $
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understan this is not a permit and work is not to start without a
permit; and that the work will be in ac dan w' the approved plan.
APPLICANT'S SIGNATURE: DATE: ` v
NOTE! Parade Q Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
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Sec.13.04 RIGH'TS OF S[IB.TECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom[he data is stored or co be stored shall be as set forth in this secuon.
Subd.2. Information reqirired to be given individual. An individual asked to supply private or confidential data concerning himself s6a11
be informed of: (a)the purpose and intended use of the requested data withia the collecdng state agency,polidcal subdivision,or stauwide sysum;
(b)whether he may refuse oY is legally required to supply the requested data;(c)any Imown consequence arising from his supplying or refusing to supply
privace or confidenaal data:and(d)the idenriry of ocher persons or enrides aurhorized by state or federal law to receive the data. This requirement shall
not apply when an individual is asked to supply invesrigadve dara,pursuant to secdon 13.82, subdivision 5,to a law enfoccement o�cer.
The commissioner of re�enue mav place the norice rewired under this subdivision in the individual income tax or proaertv tax refund
instructions instead of on those forms. '
Subd.3. Access to data by individual. Upon request to a responsible authoriry,an iadividual shall be informed whether he is the subject
of stored data on individuals,and wherher it is ciassified as public, private or confidenual. Upon his further request,an individual who is the subject
of storod private or public data on individuals shall be shown the data wirhout any charge to him and,-if he desires,shall be informed of the content
and meaning of ct►at data. After an individual has been shown che private data and informed of ia meaning,the data need not be disclosed to him for
six months thereafter unless a dispute or acdon pursuanc to this secdon is pending or addidonal data on the individual has been collected or created.
The responsible au[horiry shail pcovide copies of the private or public data upon request by the individual subject of the data. The responsible authority
may require the requesang person to pay the actual cosu of making,cerdfying,and compiling the copies.
The responsible authoriry shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days of
the date of the reques[,exctuding Santrdays,Sundays and legal holidays,if immediace compliance is not possible. If he cannot compty with the request
within that time,he shalt so inform the individual,and may have an addidonal five days within wluch to comply with the request,excluding Saturdays,
Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or private
data concerning himself. To exercise this right,an individual shall nodfy in writing the responsible authority describing c}►e nature of the disagreemeat.
The responsible authoriry shall within 30 days ei[her: (a)correct the dara found to be inaccurate or incomplete and attempt to nodfy past recipienu of
inaccurate or incomplece data, including recipien[s named by the individual;or(b)notify the individual that he believes the data to be correcc. Data
in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The decerminadon of the responsible authority may be appealed pursuant to the provisions of the administradve procedure act relating to
contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd.2, "Rights of subjects of data", we would like to inform you that your request
for a permit or license from the City of Orono or any of its departments may require you to fumish certain private or
confidential information.
You are notified that:
1, The information you furnish will be used to determine your qualification for the permit or license requested.
2. You may refuse �to supply data, but refusal may require that the City deny the permit or license.
3, The information may be shared with other local, state or federal agencies to the extent necessary to process
the pemut or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5, You have certain rights under M.S. 13.04 (available upon request) to review private data on yourself.
(, Your full name is required to process this application or permit.
First �Iiddle Last
Address
Ciry State Zip Phone
I under d my ri s a above. ,
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